Active NPI
Elizabeth Underwood
- School Registered Nurse
- Binghamton, NY
National Provider Identifier
1700288875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 634830-1
- Practice address
- 262 Conklin Ave
Binghamton, NY 13903-2308 - Phone
- (607) 762-8345
- NPI assigned
- Sep 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 634830-1 | NY | Primary |
Addresses
Primary practice location
262 Conklin Ave
Binghamton, NY 13903-2308
Mailing address
3007 King St
Endwell, NY 13760-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 634830-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411171200000",
"number": "1700288875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 KING ST",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137603331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 CONKLIN AVE",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139032308",
"telephone_number": "607-762-8345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-20",
"last_updated": "2014-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "634830-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.